多方位护理干预在强制住院精神分裂症患者护理中的应用效果
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摘要
目的探讨多方位护理干预在强制住院精神分裂症患者护理中的应用效果。方法选取2017年3月～2018年3月我院收治的80例精神分裂症患者(均为肇事肇祸后被司法机关鉴定为无刑事能力的精神分裂症,对其进行强制住院治疗),根据随机数字表法分为对照组和观察组,每组各40例。对照组给予常规护理,观察组在常规护理的基础上给予多方位护理干预,比较两组护理前后的焦虑自评表(SAS)、简明精神病量表(BPRS)、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分情况。结果干预前两组的SAS、BPRS、WHOQOL-BREF评分比较,差异无统计学意义(P>0.05);干预后,观察组的BPRS评分[(135.20±29.47)分]、SAS评分[(40.42±7.24)分]均显著低于对照组(P<0.05);观察组的WHOQOL-BREF评分[(58.15±8.37)分]显著高于对照组,差异有统计学意义(P=0.000)。结论多方位护理干预可更显著改善精神分裂症患者的病情、缓解患者的焦虑情绪、提高患者的生存质量。
Objective To investigate the effect of multi-directional nursing intervention on the nursing of patients with compulsory schizophrenia. Methods Eighty patients with schizophrenia who were hospitalized in our ward from March2017 to March 2018 were selected.(Patients were identified as schizophrenia without criminal capacity by the judicial authorities after the accident, and they were forced to be hospitalized). According to the random number table method was divided into control group and observation group,each group has 40 cases. The control group was received the conventional nursing.and the observation group were given multi-directional nursing intervention on the basis of conventional nursing. The anxiety self-assessment table(SAS),The Mental Disorder Scale(BPRS) and the world Health Organization Quality of life Measurement scale summary(WHOQOL-BREF) score before and after nursing were compared between the two groups. Results There were no significant differences in SAS, BPRS, WHOQOL-BREF scores between the two groups before interuention(P>0.05). After the intervention, the BPRS score([135.20±29.47] points) and SAS score [40.42±7.24] points) in the observation group were significantly lower than those in the control group(P<0.05). The WHOQOL-BREF score([58.15±8.37] points) in the observation group was significantly higher than that in the control group(P=0.000). Conclusion Multi-directional nursing intervention can significantly improve the condition of patients with schizophrenia, alleviate their anxiety and improve their quality of life.
Objective To investigate the effect of multi-directional nursing intervention on the nursing of patients with compulsory schizophrenia. Methods Eighty patients with schizophrenia who were hospitalized in our ward from March2017 to March 2018 were selected.(Patients were identified as schizophrenia without criminal capacity by the judicial authorities after the accident, and they were forced to be hospitalized). According to the random number table method was divided into control group and observation group,each group has 40 cases. The control group was received the conventional nursing.and the observation group were given multi-directional nursing intervention on the basis of conventional nursing. The anxiety self-assessment table(SAS),The Mental Disorder Scale(BPRS) and the world Health Organization Quality of life Measurement scale summary(WHOQOL-BREF) score before and after nursing were compared between the two groups. Results There were no significant differences in SAS, BPRS, WHOQOL-BREF scores between the two groups before interuention(P>0.05). After the intervention, the BPRS score([135.20±29.47] points) and SAS score [40.42±7.24] points) in the observation group were significantly lower than those in the control group(P<0.05). The WHOQOL-BREF score([58.15±8.37] points) in the observation group was significantly higher than that in the control group(P=0.000). Conclusion Multi-directional nursing intervention can significantly improve the condition of patients with schizophrenia, alleviate their anxiety and improve their quality of life.
引文
[1]李秀英,陈宏,辛建.伴与不伴精神病性症状抑郁患者临床特征及影响因素分析[J].中华行为医学与脑科学杂志,2016,25(8):732-735.
[2]缪忠凤,邓家佩.比赛形式的康复训练对慢性精神分裂症患者的影响[J].中华全科医学,2014,12(7):1159-1160.
[3]Fazel S,Langstr MN,Hjern A,et al.Schizoprenia,substance abuse and violent crime[J].JAMA,2009,302(18):1168.
[4]曹莹莹.音乐治疗对精神分裂症患者抑郁状态、生活质量的影响研究[J].临床医药文献电子杂志,2016,3(48):9490-9491.
[5]徐小洁,傅廷东,黎赛英.功能训练对住院精神分裂症患者社会功能及生活质量的影响[J].福建医药杂志, 2016,38(3):150-152.
[6]徐昭君.认知康复护理对精神分裂症患者认知功能障碍及精神状态的改善作用[J].中国卫生标准管理,2016,7(20):237-238.
[7]栗文靖,许培扬,纪志刚.精神分裂症研究进展[J].实用临床医药杂志,2011,15(5):123-125.
[8]杨飞瀑,何洋,王震,等.抗精神分裂症药物研究进展[J].药学学报,2016,51(12):1809-1821.
[9]潘巧淑.综合护理干预对慢性精神分裂症患者社会功能和生命质量的影响[J].医学理论与实践,2016,29(9):1233-1235.
[10]磨丽莉,陈静,周芳珍.综合护理干预对慢性精神分裂症患者治疗依从性和生命质量的影响[J].内科,2016,11(2):326-328.
[11]李娜.认知行为干预对慢性精神分裂症患者社会功能恢复及院外康复的促进作用[J].中国医药导刊, 2015,17(2):127-129.
[12]王妍.浅析非霍奇金淋巴瘤化疗护理干预的效果[J].中国现代药物应用,2018,12(4):131-132.
[13]关军.阿立哌唑和利培酮治疗精神分裂症的临床效果对比分析[J].世界最新医学信息文摘,2018,18(78):124.
[14]鲍观兴,付春红.精神分裂症后抑郁患者使用帕罗西汀治疗的临床效果[J].药品评价,2018,15(18):29-31.
[15]崔文辉.无抽搐电休克疗法治疗精神分裂症的疗效分析[J].中国实用医药,2018,13(27):82-83.
[2]缪忠凤,邓家佩.比赛形式的康复训练对慢性精神分裂症患者的影响[J].中华全科医学,2014,12(7):1159-1160.
[3]Fazel S,Langstr MN,Hjern A,et al.Schizoprenia,substance abuse and violent crime[J].JAMA,2009,302(18):1168.
[4]曹莹莹.音乐治疗对精神分裂症患者抑郁状态、生活质量的影响研究[J].临床医药文献电子杂志,2016,3(48):9490-9491.
[5]徐小洁,傅廷东,黎赛英.功能训练对住院精神分裂症患者社会功能及生活质量的影响[J].福建医药杂志, 2016,38(3):150-152.
[6]徐昭君.认知康复护理对精神分裂症患者认知功能障碍及精神状态的改善作用[J].中国卫生标准管理,2016,7(20):237-238.
[7]栗文靖,许培扬,纪志刚.精神分裂症研究进展[J].实用临床医药杂志,2011,15(5):123-125.
[8]杨飞瀑,何洋,王震,等.抗精神分裂症药物研究进展[J].药学学报,2016,51(12):1809-1821.
[9]潘巧淑.综合护理干预对慢性精神分裂症患者社会功能和生命质量的影响[J].医学理论与实践,2016,29(9):1233-1235.
[10]磨丽莉,陈静,周芳珍.综合护理干预对慢性精神分裂症患者治疗依从性和生命质量的影响[J].内科,2016,11(2):326-328.
[11]李娜.认知行为干预对慢性精神分裂症患者社会功能恢复及院外康复的促进作用[J].中国医药导刊, 2015,17(2):127-129.
[12]王妍.浅析非霍奇金淋巴瘤化疗护理干预的效果[J].中国现代药物应用,2018,12(4):131-132.
[13]关军.阿立哌唑和利培酮治疗精神分裂症的临床效果对比分析[J].世界最新医学信息文摘,2018,18(78):124.
[14]鲍观兴,付春红.精神分裂症后抑郁患者使用帕罗西汀治疗的临床效果[J].药品评价,2018,15(18):29-31.
[15]崔文辉.无抽搐电休克疗法治疗精神分裂症的疗效分析[J].中国实用医药,2018,13(27):82-83.